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Organization
SAPANA KOTHARY PROFESSIONAL DENTAL CORPORATION
Active
Organization
SAPANA KOTHARY PROFESSIONAL DENTAL CORPORATION
Active
Other names
Los Gatos Dental Specialities
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA MARGARITA ZAMORANO RDA (OFFICE MANAGER)
(408) 504-4935
Entity
Organization
Contact information
Practice address
15075 LOS GATOS BLVD STE 120, LOS GATOS, CA 95032-2049
(408) 504-4935
Mailing address
5669 LA SEYNE PL, SAN JOSE, CA 95138-2240
(408) 504-4935
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
NULL
1223E0200X
Endodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
NULL
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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